Individual
DR. EXCELSIS ORTEZA ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7203
(973) 926-2332
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7203
(973) 926-2332
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MA038668
NJ
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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